Organization
A SPECIAL PEACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA WILSON M.ED., BCBA, LBA (ADMINISTRATOR)
(713) 380-5248
Entity
Organization
Contact information
Practice address
17507 STERLING STONE DR, HOUSTON, TX 77073-2765
(713) 380-5248
Mailing address
17507 STERLING STONE DR, HOUSTON, TX 77073-2765
(713) 380-5248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/15/2022
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